Individual
ELISE T SUCHOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
137 TREMONT ST, NEWINGTON, CT 06111-4740
(860) 989-4389
Mailing address
137 TREMONT ST, NEWINGTON, CT 06111-4740
(860) 989-4389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002378
CT
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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